SNF

AVIVA AT FITZSIMONS

CCN: 065430 · AURORA, CO 80045 · Adams County

Overview

Address
13525 E 23RD AVE, AURORA, CO 80045
Phone
3033448282
Certified beds
100
Avg daily residents
74 (74% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare
Medicare/Medicaid since
2018-12-27
Setting
Urban
3 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 5.05 6.15 3.17 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 1.29 1.08 0.81 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.82 1.37 0.52 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.94 3.71 1.85 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 2.11 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.16 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
4.68
hrs / resident / day
RN (weekend)
0.96
hrs / resident / day
Total nurse (adjusted, weekend)
2.94
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
63.5%
annual
RN turnover
68.0%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
2.18
higher acuity than avg
Case-Mix Index Ratio
1.58
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-10-08 8 7 2 72 1 72
Cycle 2/3 (prior) 2023-07-31 15 7 14 136 1 136
Total weighted health score
88.0
lower is better

Deficiencies (28)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

25 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2025-08-26 —
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-01-02 2025-01-31
0730 Observe each nurse aide's job performance and give regular training. E 2024-10-08 2024-10-31
0759 Ensure medication error rates are not 5 percent or greater. D 2024-10-08 2024-10-31
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-10-08 2024-10-31
0813 Have a policy regarding use and storage of foods brought to residents by family and other visitors. D 2024-10-08 2024-10-31
0851 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F 2024-10-08 2024-10-31
0880 Provide and implement an infection prevention and control program. E 2024-10-08 2024-10-31
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-10-08 2024-10-31
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-10-11 2023-10-12
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2023-07-31 2023-08-03
0585 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. E 2023-07-31 2023-08-03
0679 Provide activities to meet all resident's needs. E 2023-07-31 2023-08-03
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2023-07-31 2023-08-03
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F 2023-07-31 2023-08-03
0908 Keep all essential equipment working safely. F 2023-07-31 2023-08-03
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2023-07-31 2023-08-03
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2023-07-31 2023-08-03
0760 Ensure that residents are free from significant medication errors. E 2023-07-31 2023-08-03
0573 Let each resident or the resident's legal representative access or purchase copies of all the resident's records. E 2023-04-06 2023-04-07
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2023-04-06 2023-04-07
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2023-04-06 2023-04-07
0880 Provide and implement an infection prevention and control program. D 2023-04-06 2023-04-07
0585 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. D 2019-12-10 2020-01-09
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2019-12-10 2020-01-02
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2019-12-10 2019-12-30
0808 Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. D 2019-12-10 2020-01-07
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2019-12-10 2019-12-30

Penalties (3)

Fines issued
3
last 3 years
Total fines
$23,271
Date Type Fine amount
2023-04-06 Fine $1,521
2023-07-31 Fine $7,735
2025-08-26 Fine $14,015

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 19.1% Medicaid 31.7% Other 49.3%

Operating performance

Operating Margin
-12.5%
Total Margin
-11.9%
Occupancy Rate
80.2%
Cost per Resident Day
$189

Revenue & costs

Net Patient Revenue
$18.7M
Total Costs
$5.5M
Net Income
-$2.2M

Balance sheet

Total Assets
$3.0M
Total Liabilities
$5.6M
Fund Balance
-$2.6M
Current Ratio
0.54

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: VIVAGE SENIOR LIVING

Chain ID
552
Facilities in chain
17
Legal business name
MSV FITZSIMONS, LLC
Chain-average star ratings (for peer context)
Overall
3.4
Health
2.5
Staffing
3.2
QM
4.9

Owner / manager organizations (4)

Organization Role Association
KCP AURORA, LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/31/2021
MFF MANAGEMENT, LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/01/2019
MOC AURORA LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/31/2021
QP HEALTH CARE SERVICES LLC OPERATIONAL/MANAGERIAL CONTROL since 08/22/2018

Owner / manager individuals (8)

Name Role Association
BRAMMEIER, JOHN 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/22/2018
FLANAGAN, MICHAEL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/31/2018
MOSKOWITZ, JAY 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/22/2018
BRAGHIN, FERNANDO CORPORATE OFFICER since 01/31/2021
BRAMMEIER, JOHN CORPORATE OFFICER since 12/31/2011
MOSKOWITZ, JAY CORPORATE OFFICER since 12/31/2011
BURMOOD, RYAN W-2 MANAGING EMPLOYEE since 06/01/2020
KORETKE, MARY W-2 MANAGING EMPLOYEE since 10/01/2018

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Both
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $189 metrics.cost_per_resident_day
Cost Report Current Ratio 0.54 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 31.7% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 19.1% metrics.medicare_day_share
Cost Report Net Income ($) $-2,249,315 metrics.net_income
Cost Report Net Patient Revenue ($) $18,735,615 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 80.2% metrics.occupancy_rate
Cost Report Operating Margin (%) -12.5% metrics.operating_margin
Cost Report Total Assets ($) $3,035,884 metrics.total_assets
Cost Report Total Costs ($) $5,537,465 metrics.total_costs
Cost Report Total Fund Balances ($) $-2,609,873 metrics.fund_balance
Cost Report Total Liabilities ($) $5,645,757 metrics.total_liabilities
Cost Report Total Margin (%) -11.9% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.51519 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.84704 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.80822 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.17045 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.93856 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 74.4 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 1.36563 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 3.71147 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 1.07641 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 6.15351 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 5.42367 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.5 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.4 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.9 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.2 Chain Average Staffing Rating
Provider Information Chain ID 552 Chain ID
Provider Information Chain Name VIVAGE SENIOR LIVING Chain Name
Provider Information City/Town AURORA City/Town
Provider Information CMS Certification Number (CCN) 065430 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Adams County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 2018-12-27 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 39.7496 Latitude
Provider Information Legal Business Name MSV FITZSIMONS, LLC Legal Business Name
Provider Information Location 13525 E 23RD AVE,AURORA,CO,80045 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -104.83 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 100 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 17 Number of Facilities in Chain
Provider Information Number of Fines 3 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 2.17991 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.58234 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 13525 E 23RD AVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name AVIVA AT FITZSIMONS Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 000 Provider SSA County Code
Provider Information Provider Type Medicare Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 72 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 2 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 7 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-10-08 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 72 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 8 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 7 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-07-31 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 136 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 14 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 136 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 15 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.96248 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 68.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 2.10924 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.82110 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.94379 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.15637 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 1.28813 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 5.05303 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State CO State
Provider Information Telephone Number 3033448282 Telephone Number
Provider Information Total Amount of Fines in Dollars 23271.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 4.68344 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 3 Total Number of Penalties
Provider Information Total nursing staff turnover 63.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 88.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Both With a Resident and Family Council
Provider Information ZIP Code 80045 ZIP Code